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PMHNP Exam 2026 Questions and answers

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PMHNP Exam 2026 Questions and answers

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PMHNP Exam 2026 Questions and answers



What is dissemination? - correct answers Getting the research information out to those who
need to know it!



Publication - highest level

Presenting at National Conference

Presenting at Local Conference

Journal Club where one person reviews an article



What does a 17 on MMSE mean? - correct answers Moderate cognitive impairment



What is Tegretol in the CYP450 system? - correct answers Inducer -->will lower dose of Lamictal
and BCP's



What do BCP's do to Lamictal? - correct answers Inducer - will lower dose of Lamictal



What is a Type I research error? - correct answers There IS a difference but you say there isn't a
difference.



What is a Type II research error? - correct answers There is NO difference but you say there is a
difference.



What is pseudo-dementia? - correct answers Cognitive impairment secondary to depression
that clears when treated in the elderly. Dementia won't improve.



Is it normal for a 1 month old to have a palmar grasp? - correct answers Yes.

,What is a drug 1/2 life? - correct answers The time it takes for 50% of a drug to be eliminated
from the body.



What 3 atypicals can be used with teens? - correct answers Zyprexa, Abilify, Seroquel - low
doses



What is a risk of using Tramadol? - correct answers Serotonin Syndrome as it is very
serotonergic.



What is the allele seen in Asians that increase the risk of SJS? - correct answers HLAB-1502



When might you see toxic epidermal necrolysis? - correct answers With worsening of SJS



How many generations do you include for a genogram? - correct answers 1st degree - mother,
father, siblings

2nd degree - grandparents & cousins

3rd degree -



What does messenger RNA code for? - correct answers Amino Acids



What is epigenetics? - correct answers Factors that affect genes - environmental, smoking,
stress, etc...



What part of the brain is involved with OCD? - correct answers Basal Ganglia

Occipito-Frontal



What happens to the brain during adolescence? - correct answers Dendritic pruning

Emotions are controlled by amygdala

,By adulthood, PFC involved as well



When do males typically present with schizophrenia? - correct answers 10-25 yo



When do females typically present with schizophrenia? - correct answers 25-35 yo



What does Erythromycin to trileptal? - correct answers You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor



ACE Inhibitors are the drug of choice for what? - correct answers Heart Failure

HTN



What are some psychiatric side effects seen with some asthma drugs - correct answers
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety,
hallucinations, depression, insomnia, SI, tremor



What should you watch for with Tegretol? - correct answers Agranulocytosis and Hyponatremia



What are the 3 CK muscle enzyme tests? - correct answers CKBB, CKMM, CKMB



Which one of the 3 muscle enzymes are related to cardiac muscle damage? - correct answers
CKMB



What is the risk of a seriously elevated CKMB? - correct answers Polymyositis

Rhabdo



What is a normal CKMB? - correct answers 0.3 mcg/L

, What psychoactives does Detrol interact with? - correct answers Topamax

KCL

Zonegran



What CN are you assessing when you have the patient shrug their shoulders? - correct answers
CN XI - Spinal Accessory



What do you see in labs with HIV & Dementia? - correct answers CD4 <200

Viral Load is high

<20% get it with antiretroviral treatment



What is the scoring with the Beck Depression Inventory? - correct answers Self-Report - 0-63

0-13 - minimal

14-19 - mild

20-28 - moderate

29-63 - severe



What is sensitivity? - correct answers Helps rule-out disease = True Positive = Snout



What is specificity? - correct answers Helps rule-in disease = True Negative = Spin



What does a sed rate measure? - correct answers Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.



What is a normal sed rate or ESR? - correct answers 0-22 males

0-29 females

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